QUESTIONS AND ANSWERS
The nurse cares for a patient diagnosed with superficial partial thickness burn. The
nurse should assign the patient to a room with which patient?
• A patient diagnosed with Cushing’s Syndrome.
• A patient Diagnosed with cellulitis of the left leg.
• A patient diagnosed with acute peritonsillar abscess.
• A patient diagnosed with acute pelvic inflammatory disease.Answer: A
• The nurse observes patient care on a geriatric unit. The nurse should
intervene inwhich situation?
• A student nurse assist the patient out of bed toward the patients strong side.
• A student nurse assist the patient to sit on the side of the bed by lifting the
patient’sshoulders and swinging the patient’s legs over the edge of the bed.
• A student nurse assists the patient to stand from a sitting position by grasping
thepatient’s elbows.
• Two student nurses use a draw sheet to turn a patient in the bed.Answer: C
• The nurse evaluates the results of the patient’s purified protein derivative
(PPD) 2 ½ days after the injection. The nurse noted the induration is 4 mm. which
action by the nurseis most appropriate?
• Inform the patient the results are negative
• Obtain the names of the patient’s closest contacts.
• Determine the HIV status of the patient.
• Wait and additional 24 hours to read the results.Answer: A
• The nurse cores for the patient with a history of schizophrenia. The nurse
expects to note which speech pattern?
• Repetition of the words used by the nurse.
• Rapid, coherent conversation about unrelated topics.
• Immediately answering questions appropriately.
• Slow, purposeful answers to the nurses questions.Answer: A
• The nurse cares for a 6-month-old infant. The parents report that the infant
hadsevere diarrhea for twelve hours. The nurse anticipates which finding?
• Normal skin elasticity.
• Depresses anterior fontanel.
• Pale yellow urine.
• Absent bowel sounds.Answer: B
,• The nurse cares for a patient receiving hydrocodone every 6 hours prn for
pain. The patient reports pain at 1600. The nurse notes that the hydrocodone was last
administered at
1200, and the nurse proceeds to administer hydromorphone at 1615. After discovering
theerror, how should the nurse record the occurrence?
• “Wrong pain tablet given early. patient will be monitored closely. Asleep now.”
• “Hydromorphone given instead of hydrocodone. Nursing supervisor aware of
error.”
• Hydrocodone tablet ordered every 6 hours; pain medication given after 4
hours.Health care provider notified.”
• “Hydromorphone given at 1615; health care provider notified. B/P 122/80, RR
16.”Answer: D
• The male patient asks the nurse, “Why am I experiencing erectile dysfunction
(ED)?” The nurse reviews the patient’s medications. The nurse recognizes that which
classificationincreases the risk for ED?
• Non-steroidal anti-inflammatory drugs.
• Antihypertensive medications.
• Anticoagulant medications.
• Histamine H2 inhibitors.Answer: B
• The nurse in the hospital cafeteria overhears two nursing assistive personnel
(NAP)discuss the patient’s condition. What is the PRIORITY action for the nurse to
take?
• Change the topic of the conversation.
• Report the employees to their nurse manager.
• Inform the employees about patient confidentiality and the patient’s right to
privacy.
• Meet with the employees at the end of the shift and tell them not to discuss
patients ina public place.
Answer: C
• The nurse cares for a patient diagnosed with dehydration. The plan of care
indicates the patient is to drink two ounces of fluid every hour. The nurse determines
the goal is met ifwhich is recorded on the intake and output (I&O) sheet for an eight-
hour shift?
• 360 ml
• 160 ml
• 480 ml
d. 240 ml 1 oz=30 ml; 60 oz*8= 480 mlAnswer: C
, • The nurse and LPN/LVN care for patients on a medical-surgical unit. The RN
shoulddelegate which activity to the LPN/LVN?
• Follow up on the patient’s report of chest and back itching two hours after
starting apatient controlled analgesia pump.
• Provide instruction for the patient receiving the first nicotine patch.
• Inform the health care provider of the patient’s history of peptic ulcer disease
prior to administration of streptokinase.
• Take the blood pressure and heart rate before administration of enalapril.
Answer: D
• The nurses care for the patient diagnosed with tuberculosis. Before
discontinuing airborne precautions, the nurse must confirm which?
• The tuberculin skin test is negative
• No acid-fast bacteria are in the sputum.
• The patient has received anti-tuberculin medication for three days.
• The patient’s temperature has returned to normal. Answer: B
• The nurse cares for the patient at 28 weeks gestation diagnosed with a
complete placenta previa. The nurse determines discharge teaching is effective if the
patient makeswhich statement to her husband?
• I can go back to work tomorrow on a part-time basis
• I’m sorry to tell you we can’t have sexual relations
• I will still be able to have a vaginal birth
• I have to come back in 48 hours for a vaginal examAnswer: B
• The nurse prepares the patient diagnosed with myxedema for discharge.
Which action should the nurse teach related to body temperature?
• “Alternate acetaminophen with ibuprophen every four hours for fever”
• “Take your temperature and record the results three times a day.”
• “Put on multiple layers of clothes until you fell comfortably warm.”
• “Use a heating pad during the day and electric blanket at night.”Answer: C
• The nurse cares for patients in the labor and delivery unit. The nurse
anticipateswhich patient is a candidate for induction of labor?
• The patient with the fetal face as the presenting part.
• The patient diagnosed with preeclampsia.
• The patient diagnosed with active herpes infection.
• The patient experiencing late decelerations. Answer: B
• The nurse cares for the patient diagnosed with HIV. The nurse determines
which goalis MOST important?
• Prevent Kaposi’s sarcoma.
• Prevent depression